Social security card, showing residents' hospitalization medical insurance, uninsured and uninsured outpatient service. What do you mean?

The basic medical expenses of employees participating in comprehensive medical insurance during hospitalization shall be paid by the basic medical insurance pooling fund, and the individual pays10%; (Same as the insured of hospitalization medical insurance)

2, comprehensive medical insurance insured outpatient basic medical expenses and outpatient use of drugs outside the local supplementary medical insurance drug list, diagnosis and treatment project costs, paid by personal accounts; Personal account is insufficient to pay, outpatient basic medical expenses by the basic medical insurance fund to pay 70%, individuals pay 30%.

Except as stipulated in Article 27 (outpatient dialysis of chronic renal failure, anti-rejection drugs after organ transplantation, outpatient chemotherapy of malignant tumor, interventional therapy, radiotherapy or radionuclide therapy of the insured, with the approval of the municipal social insurance institution, the basic medical expenses of the insured are paid by the basic medical insurance pooling fund for 90%, and the individual pays 10%).

3, the insured person each medical insurance year from the basic medical insurance fund to pay the maximum amount of not more than 4 times the average wage of urban workers in the city last year, and linked to the continuous insured time, the specific criteria are:

Within half a year, 0.5 *12p; For more than half a year but less than one year,1*12p; More than one year and less than two years, 2 *12p; More than two years and less than three years, 3 *12p; More than 3 years, 4* 12P.

According to 266 1 in 2004, it was10.6 million, 32,000, 64,000 and10.28 million respectively.

Note: It must be continuous. If there is a stop loss in the middle, the guarantee will become 0 and the calculation will start again.

4. For the insured of local supplementary medical insurance, 85% of the following expenses are paid by the local supplementary medical insurance fund, and the individual pays 15%:

5, the insured local supplementary medical insurance, each medical insurance year from the local supplementary medical insurance fund to pay the maximum amount of medical expenses and continuous participation in the basic medical insurance time, the specific criteria are:

Half a year less than one year, 50 thousand; One year but less than two years, 654.38+ million; More than two years and less than three years, 1.5 million; In three years, 200 thousand

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.